Organization · Type 2 NPI
Georgia Interventional Pain - S, LLC
Ambulatory Surgical Clinic/Center · Austell, GA
NPI number
1417764572
Active
Practice location
3825 Medical Park Dr Ste 302
Austell, GA 30106-6831
Mailing address
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1417764572
Georgia Interventional Pain - S, LLC's National Provider Identifier is 1417764572, issued on Dec 12, 2024. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Austell, GA. The record was last updated on Dec 12, 2024.